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1538606751
DEIDRE RICHARDSON
FORT WORTH, TX
NPI
1538606751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: TX AP132743)
Enumeration Date
2017-01-25
Last Update Date
2023-06-22
Business Address
DEIDRE RICHARDSON AGACNP-BC
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104-4215
Phone number: 817-335-5288
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Mailing Address
DEIDRE RICHARDSON AGACNP-BC
601 OMEGA DR STE 208
ARLINGTON, TX 76014-2075
Phone number: 817-465-5881
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